[Resorption of the lavage fluid during transurethral resection of the prostate. Apropos of 13 cases].
The authors report on thirteen patients who developed a variety of symptoms after transurethral resection of the prostate; confusion, seizures, blurred vision with mydriasis, nausea and vomiting, bradycardia, and hypotension. This post-resection syndrome is caused by resorption of a large amount of the hypotonic solution used during the surgical procedure and containing 1.5% glycine. Postoperative sodium levels were assayed in all patients and consistently found to be low (105 to 124 mEq/l). Serum glycine was measured in three patients and the very high levels found suggest that absorption of glycine during transurethral resection of the prostate may contribute to the symptoms of encephalopathy.
Clément
P
P
Département d'Anesthésie Réanimation, Hôpital Cochin, Paris.
Paulet
C
C
D000042:Absorption; D004172:Diplopia / Q000209:etiology; D005998:Glycine / Q000009:adverse effects / Q000097:blood; D006801:Humans; D007038:Hypotonic Solutions / Q000009:adverse effects; D008297:Male; D009325:Nausea / Q000209:etiology; D009994:Osmolar Concentration; D011468:Prostatectomy / Q000009:adverse effects*; D012640:Seizures / Q000209:etiology; D012964:Sodium / Q000097:blood; D013577:Syndrome; D007507:Therapeutic Irrigation / Q000009:adverse effects; D014839:Vomiting / Q000209:etiology
D007038:Hypotonic Solutions; D012964:Sodium; D005998:Glycine
Résorption du liquide lavage au cours des résections trans-urétrales de la prostate. A propos de treize cas.